A 42-year-old lady, who previously enjoyed good past health, has been suffering from progressive dry eye and dry mouth for 6 months.   She was afebrile all along.  Physical examination revealed painless enlargement of both parotid glands.  Blood test for autoimmune markers found positive for anti-nuclear antibody.  MRI orbit and neck was performed (T2W, T2W FS, T1W images):

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